Somatic Flashcards
- HA doesnt go away: everyday
- only lying down in dark room; meds doesnt really help
- chest pains, back pains, abdomen
- N&V
- numbness and tinglineness in arms
- not able to find cx
- unable to work 5 yrs b/c of sx: sx destroyed her life
- covinced she is dying
- depressed mood and depressed affect
somatic sx disorder
Somatic sx disorder-sx?
MULTIPLE physical complaints, at least one:
- disproportionate/persistent through about seriousness
- high anxiety about health/sx
- excessive time/energy DEVOTED to these sx/health concerns
- cormobid depressed mood
- significant QOL impairment
- persistent thoughts about seriousness of sx
Somatic sx disorder - timeline?
chronic fluctuations-sx go away but always there
6 mo
Somatic sx disorder - complications?
repeated surgeries
drug dependence
suicide attempts (not often completed)
martial separation
Somatic sx disorder -etiology?
men = women temperament anxiety/depression lower education psychological childhood abuse recent stressful life events familial pattern (learned) other psych conditions personality disoderes
Somatic sx disorder - tx?
empathic supportive functional consults may not be helpful do not schedule surgeries
Conversion disorder?
presence of any sx of altered motor or Senosry fxn
Conversion disorder-timeline?
between ages: 10-35yo
women to men: 2:1
Conversion disorder-possible of etiology?
lower socioeconomic status
lower education
lack of psychological sophistication (not good self-awareness)
rural setting
Conversion disorder - sx motor?
weakness
paralysis
abnormal movement: tremor, dystonia, gait abnormalities
abnormal limb posturing
Conversion disroder -tx?
remove the sx AVOID direct confrontation reassurance and relaxation \+/- CBT EXCLUDE physical illness THEN tx no improvement: referral to psych for narcoanalysis, hypnosis, behavior therapy
Conversion disorder - sensory sx?
altered skin, vision, hearing generalized limb shaking w/ apparent impairment or LOC resembling epileptic seizure syncopal/comatose episodes dysphonia/aphonia (whisper) dysarthria globus (lump in one's throat) diplopia
Factitious disorder?
falsification of physical or psychological signs/sx; induction or injury
WITH EVIDENCE OF DECEPTIVE INTENT
NO gain is evident
Factitious disorder - types?
imposed on self
imposed on another
Factitious disorder - sx/signs/hx?
exaggerate sx interfere w/ diagnostic instruments fake fevers tamper w/ lab specimens self-catheter self-cut self-infect inject unneeded insulin take thyroid hormones/anticoags avoid immediate care in order to worsen sx
